Emily O'Reilly, APN
Individual provider Active NPI Family Nurse Practitioner · Plano, IL
NPI 1841070943 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1841070943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209028367 (IL)
- Practice address
- 115 E South St Ste F
Plano, IL 60545-1595 - Phone
- (630) 552-7166
- Fax
- (630) 552-7168
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250326003366 | IL | Practitioner - Nurse Practitioner | 4688197023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209028367 | IL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209028367 | IL | Yes |
Addresses
Primary practice location
115 E South St Ste F
Plano, IL 60545-1595
Mailing address
115 E South St Ste F
Plano, IL 60545-1595
Phone (630) 552-7166
Other providers in Plano, IL
- Mukhtar Singh Nandra
- Ravinderpal Singh Nandra
- Narcrissa Berry
- Jana Nebel
- Jessica Gonzalez Nunez
- Travis John Ostbloom
- Eric Peruski
- Plano Area Special Education Cooperative
- Plano Community Unit School District #88
- Plano Family Dental,PC
All providers in Plano, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.